Advances in Immunotherapy for Tuberculosis Treatment

被引:44
作者
Churchyard, Gavin J. [1 ,2 ,3 ]
Kaplan, Gilla [4 ]
Fallows, Dorothy [4 ]
Wallis, Robert S. [5 ]
Onyebujoh, Philip [6 ]
Rook, Graham A. [7 ]
机构
[1] Aurum Inst Hlth Res, ZA-2041 Johannesburg, South Africa
[2] Univ KwaZulu Natal, Nelson R Mandela Sch Med, ZA-4041 Durban, South Africa
[3] Univ Cape Town, Fac Hlth Sci, ZA-7935 Cape Town, South Africa
[4] Univ Med & Dent New Jersey, Publ Hlth Res Inst, Newark, NJ 07103 USA
[5] Pfizer Global Res & Dev, New London, CT 06320 USA
[6] WHO, Trop Dis Res, CH-1211 Geneva 27, Switzerland
[7] Royal Free & Univ Coll Med Sch, Ctr Infect Dis & Int Hlth, Windeyer Inst Med Sci, London W1P 7PP, England
关键词
Tuberculosis; Immunotherapeutics; Antituberculous; Chemotherapy; Pulmonary infection; Immunopathology; TB treatment; NECROSIS-FACTOR-ALPHA; KILLED MYCOBACTERIUM-VACCAE; MULTIDRUG-RESISTANT TUBERCULOSIS; ADJUNCTIVE THALIDOMIDE THERAPY; PULMONARY TUBERCULOSIS; IMMUNE-RESPONSE; IFN-GAMMA; T-CELLS; ANTITUBERCULOSIS TREATMENT; ANTIINFLAMMATORY ACTIVITY;
D O I
10.1016/j.ccm.2009.08.009
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Immunotherapies have the potential to improve the outcome in all patients with tuberculosis (TB) including those with multidrug-resistant (MDR)-TB and extensively drug-resistant (XDR)-TB. Immunotherapy for TB may shorten duration of treatment and reduce pathology in individuals cured by chemotherapy, potentially preventing recurrence. Currently none of the available candidate agents have proof of efficacy for use in MDR-TB or XDR-TB. Further development and evaluation of existing immunotherapeutic agents is required to identify an effective agent that can be used adjunctively with chemotherapy to improve treatment outcomes for drug-susceptible TB, MDR-TB, and XDR-TB. With a range of potential immunotherapeutics, some of which have been produced to good manufacturing practice (GMP) standards and are registered for other indications in humans, the immunotherapy option should no longer be ignored.
引用
收藏
页码:769 / +
页数:15
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